Bao-Quyen Nguyen, DO

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

DR.0077346 Issued in CO

Practice address

15230 Lakeshore Dr
Clearlake, CA 95422-8107

Phone

(707) 995-4500

NPI assigned

May 10, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of North Texas HSC, College of Osteopathic Med, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Bay OBGYNGroup PAC ID 2264805241, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: baoquyen.nguyen@hca8.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Bay OBGYN

  • Obstetrics Physician
  • Chula Vista, CA
  • NPI 1265157986
  Medicare reassignment Care Compare group
• South Bay OB/GYN Medical Group, Inc.

  • Specialist
  • National City, CA
  • NPI 1588651426
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1942866389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 LANE AVE STE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144530",
            "telephone_number": "619-267-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15230 LAKESHORE DR",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954228107",
            "telephone_number": "707-995-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Medical Center Ct",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919116617",
            "country_code": "US",
            "telephone_number": "619-502-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 S Frontage Rd W",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575038",
            "country_code": "US",
            "telephone_number": "970-363-5318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BAO-QUYEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CO",
            "license": "DR.0077346",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A21061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Muraski Jr., MD PHD
• Kathleen Brock Murphy, BCBA
• Nicole Nance
• Olita Rosalva Mailisa Naredo, SUDRCC
• Denise Louise Newman, CADC II
• Stephanie Rose Nguyen, PHARMD
• Kiara Nichols
• Taylor O'Connor
• Susan Lynn O'Neill-Sigur, MA
• Richard Domanick Occhino

• Obstetrics Physician in Clearlake, CA
• Providers in Clearlake, CA by specialty
• Obstetrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.